Permit - 'CITY OF TIGARD 0 MECHANICAL PERMIT
:. COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00714
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/10/2007
PARCEL: 1 S125DC -02900
SITE ADDRESS: 07160 SW VENTURA DR ZONING: R
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT: 022 JURISDICTION: TIG
PROJECT: JOHNSON
Project Description: Gas furnace replace. Add gas to (2) water heaters and cook top.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 3
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 4
> 10000 cfm:
Owner: FEES
JOHNSTON, MICHAEL R + MARY ELLEN Description Date Amount
7160 SW VENTURA DR
TIGARD, OR 97223 [MECH] Permit Fee 12/10/20( $72.50
[TAX] 8% State Surcha 12/10/20C $5.80
Phone: 503- 235 -5895
Total $78.30
Contractor:
GREENTECH HEATING & COOLING
6403 SE 22ND AVE
PORTALAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 235 -5895
FAX 503- 235 -5897
Reg #: LIC 176370
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
H/ PIO
-
Issued By: i
Ati-a.c,oe Permittee Signature: ��
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Gity dff Tigard Date/13y - / 0 , ej Permit No - il �h 1
, Date/By q 13125 SW Hall Blvd., Tigard, OR - otA�t/
Phone 503 639 4171 Fax 503 5 RgElvED Plan Revi ew
Other Permit
TI G A R D Inspection Line 503 639 4175 DEC 1 0 2007 Date Ready/By loos( ® See Page 2 for
' . Internet www tigard -or gov Notified/Method Supplemental Information
CITY ®F- fIGAAD
. TYPE OPWAI OUWIS9i(� COMMERCIAL, FEE *SCHEDULE -' USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction [ J�Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value $
RESIDENTIAL EQUIPMENT /,SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description Qty I Ea Total
. , • JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 7/ S� ��14-4/74124 7w� Air conditioning or heat pump
(requires site plan showing placement) 14 00
City /State /ZIP: i l 6 Q A O2 q7??- 3 Furnace 100,000 BTU (ducts /vents) (' 14 00 ) 9
Furnace 100,000+ BTU (ducts/vents) 17 90
Suite/bldg. /apt. no.: Project name: 1,I4-0 Gas heat pump 14 00
Cross street/directions to job site: 7?.'" Duct work 10 00
Hydronrc hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc 14 00
Subdivision: Lot no.: Flue /vent for any of above 6 80
Other 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10 00
6 / , Gas fireplace 10 00
1 Q- 4C6 &pi. Flue vent for water heater or gas
�j 6.i ) 1` _ . toi / - 2 / L am' n n / fireplace 10 00
h /� L T�7 ,G!) l Log lighter (gas) 10 00
CAM TOP o Wood/pellet stove 10 00
,,,�,..�,,,,�.� r Wood fireplace /insert 10 00
[ 1 OPERTY OWNER I - ❑ TENANT Chimney /liner /flue /vent 10 00
Other. 10 00
Name: ,/1'7, 'di/ACC J AA/STDi / Environmental exhaust and ventilation
Address: 7160 gu.) 1 Ar P- bil , Range hood/other kitchen
'� ( � l equipment 10 00
City /State /ZIP: 17 o2 6 17 .9a-3 Clothes dryer exhaust 10 00
Single -duct exhaust (bathrooms,
Phone: (S - 40..10/ Fax: ( ) toilet compartments, utility rooms) 6 80
EAPPLIC ❑ CONTACT PERSON Attic /crawlspace fans 10 00
Other. 10 00
Business name: ®f= -�Eu -1 i /1 „`I 4 (i 60116011,A4- Fuel piping
Contact name: Sear, A e $5.40 for first four; $1.00 for each additional
Address: 6. 0 3 S r92)4°11/1---- Furnace, etc • ' 14 4 r �
Gas heat pump
City /State /ZIP: TD /446 OR_ ./'7�a Wall/suspended/unit heater
•
Phone: (Sd a3S`- c - gg r Fax: : S 03s' - 058 Water heater .
Fireplace
/'Q� -� / / / jf �r
E- mail: so j „E:/V r f 2/ // /E?f7 vcr 6,M Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: Other
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal ,y4()
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 1 743 70 3 '� State surcharge (8% of permit fee) C �i
TOTAL PERMIT FEE '7��
r
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: S C") /WA/ Date: P a ^ /t% U) * Fee methodology set by Tri- County Building Industry Service Board
I \Building \Permits \MEC-PermitApp doc 01/19/07 440- 46t7T(II /02/COM/WEB)
Mechanical Permit Application - City of Tigard _
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I \ Building \Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MFC2007..00714
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211012007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 1/14/2008 TIME: 7:04AM PAGE: 28
SITE ADDRESS: 07160 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 022 TYPE OF USE:
PROJECT NAME: JOHNSTON
DESCRIPTION: Gas furnace replace. Add gas to (2) water heaters and cook top.
OWNER: JOHNSTON, MICHAEL R + MARY ELLEN, PHONE #: 503 -235- 895
CONTRACTOR: GREENTECH HEATING & COOLING PHONE #: 503-235-5896
Inspection Request Scheduled For: Date: i114/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
539 Mechaucal final 063148 -02 503.258 -7993 N
Corrections /Comments/ Instructions:
ON —S. r :�
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector: Date: / Phone #: (503) 718 Z61/
CITY Oitil Tf#GARD .
BUILDING DIVISION
A. PERMIT #: MFf 2.1107 00714
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 12/10/2007
Phone: (503) 639 -4171 .1
Inspection Requests (24 Hrs.): (503) 639 -4175 .,' .. I �..
INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 07160 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 022 TYPE OF USE:
PROJECT NAME: JOHNSON
DESCRIPTION: Gas furnace replace. Add gas to (2) water heaters and cook top.
OWNER: JOHNSTON, MICHAEL. R + MARY ELLEN. PHONE #: .603. 236.5895
CONTRACTOR: GREENTECH HEATING & COOLING PHONE #: 503 - 235 -5895
Inspection Request Scheduled For: Date: 1 ?112/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 061388 -01 503. 258.7993 N
Corrections /Comments/ Instructions:
(.: r y �� � S TG - 7e5 ("?"1 uti D lvt c-nc UTL
( 44 _4 L G_ re-- J 7�74-L- S ''C� n/ w,v11.0-A/ . Ar *-rev a• •
p A SS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
_ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: l rz----/2._ —0- Phone #: (503) 718 - '
i • .
CITY Of TIGARD
BUILDING DIVISION PERMIT #: IvMEC2007- 00714
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2110/2007
Phone: (503) 639 -4171* �l
Inspection Requests (24 Hrs.): (503) 639 -4175 �' 67 I�..
INSPECTION WORKSHEET FOR DATE: 12/11!2007 TIME: 7:00AM PAGE: 21
SITE ADDRESS: 07160 SW VENTURA DR CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT #: 022 TYPE OF USE:
PROJECT NAME: JOHNSON
DESCRIPTION: Gas furnace replace. Add as to (2) water heaters and cook top.
OWNER: JOHNSTON, MICHAEL R 4' MARY ELLEN!, PHONE #: 603 - 235..1 :896
CONTRACTOR: GREENTECH HEATING ,& COOLING PHONE #: 603
Inspection Request Scheduled For: Date: 12/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 05128401 503-268-7993 Y
Corrections /Comments /Instructions:
�Ln y
❑ PASS --❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ( Date: i –// -6 Phone #: (503) 718-